Pamela Williams

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

61199 Issued in TX

Practice address

1712 North Access Road
Clyde, TX 79510-0679

Phone

(325) 893-4010

Fax

(325) 893-4042

NPI assigned

Feb 13, 2015

Last updated

Feb 13, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Pamela Williams Professional name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shackelford County Community Resource CenterGroup PAC ID 8628027174, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pamela.williams.1@28291.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shackelford County Community Resource Center

  dba ResourceCare Albany

  • Federally Qualified Health Center (FQHC)
  • Albany, TX
  • NPI 1194804278
  Medicare reassignment Care Compare group NPD
• Shackelford County Community Resource Center

  dba ResourceCare Merkel

  • Federally Qualified Health Center (FQHC)
  • Merkel, TX
  • NPI 1184096273
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1730570698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 679",
            "city": "CLYDE",
            "state": "TX",
            "postal_code": "795100679",
            "telephone_number": "325-893-4010",
            "fax_number": "325-893-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 NORTH ACCESS ROAD",
            "city": "CLYDE",
            "state": "TX",
            "postal_code": "795100679",
            "telephone_number": "325-893-4010",
            "fax_number": "325-893-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PAMELA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "WILLIAMS",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shackelford County Community Resource Center (ResourceCare Clyde)
• Trudy Lennette Smith, P.A.
• Melinda Armstrong Underwood, OTR
• United Supermarkets LLC (United Pharmacy #0167)
• William Michael Walton, D.D.S
• Wyatt Integrated Health, PLLC

• Professional Counselor in Clyde, TX
• Providers in Clyde, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.